| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,155.09 | $1,155.09 | $3,511.00 | |
Medica
| Facility | $1,451.99 | $2,000.00 | $3,414.34 | |
Midlands
| Facility | $1,716.91 | $2,600.52 | $3,211.42 | |
Sanford Health Plan
| Professional | $1,575.85 | $2,086.90 | $2,379.30 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |